Portal Hypertension

Predictive Models

Child Pugh Classification Includes: encephalopathy, ascites, INR, albumin, bilirubin
Score	Interpretation
5-6	A – least severe liver disease
7-9	B – moderately severe liver disease
10-15	C – most severe liver disease

Child pugh helps determine life expectancy as well as post-abdominal surgery mortality. Also used for medication drug dosing (DOACs)

Model for End Stage Liver Disease (MELD)

Includes: creatinine/need for dialysis, bilirubin, sodium, and INR

Score

Interpretation

9-40

Predicts 3-month mortality

Worsens with increasing score

Consider listing for transplant ~15-17

MELD: initially created to predict TIPS procedure survival, now typically used to determine transplant candidacy (Meld 15-17)

As mentioned, cirrhosis is progressive and non-reversable
Treatment of cirrhosis is currently focused on mitigating complications that commonly arise